Assessing Sustainability of InSHAPE Participants’ Fitness Activities in a Community Mental Health Setting

Lesley, Marsha; Livingood, Kristi

doi:10.3928/02793695-20150126-05

Cited by 10 publications

(28 citation statements)

References 18 publications

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“…Articles describing program level outcomes such as Clubhouse costs and did not offer data on the outcomes of interest described above (Daniilidis 2014 ; Fitzgerald 2013; Fitzgerald et al 2015a , b ; Labun et al 2012 ; Lesley and Livingood 2015 ; McKay et al 2007 ; Plotnick and Salzer 2008 ; Pernice-Duca et al 2015 , 2010 ; Tanaka 2013 ; Tanaka et al 2015 ; Tanaka and Davidson 2015 ; Torres Stone et al 2015 ).…”

Section: Appendix A: Articles Excludedmentioning

confidence: 99%

A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation

McKay

Nugent

Johnsen

et al. 2016

Adm Policy Ment Health

126

101

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The Clubhouse Model has been in existence for over sixty-five years; however, a review that synthesizes the literature on the model is needed. The current study makes use of the existing research to conduct a systematic review of articles providing a comprehensive understanding of what is known about the Clubhouse Model, to identify the best evidence available, as well as areas that would benefit from further study. Findings are summarized and evidence is classified by outcome domains. Fifty-two articles met the selection criteria of Randomized Clinical Trials (RCT’s), quasi-experimental studies, or observational studies for domains of employment (N = 29); quality of life/satisfaction (N = 10); reductions in psychiatric hospitalization(s) (N = 10); social relationships (N = 10); education (N = 3); and health promotion activities (N = 2). RCT results support the efficacy of the Clubhouse Model in promoting employment, reducing hospitalization(s), and improving quality of life. Quasi-experimental and observational studies offer support in education and social domains. The findings from this review indicate that Clubhouses are a promising practice but additional studies using rigorous methods that report the strength of the outcomes are needed to evaluate Clubhouse programs with fidelity to the Clubhouse Model.Electronic supplementary materialThe online version of this article (doi:10.1007/s10488-016-0760-3) contains supplementary material, which is available to authorized users.

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Section: Appendix A: Articles Excludedmentioning

confidence: 99%

A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation

McKay

Nugent

Johnsen

et al. 2016

Adm Policy Ment Health

126

101

View full text Add to dashboard Cite

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“…Aschbrenner et al, 2013; K. A. Aschbrenner et al, 2013; Lesley & Livingood, 2015; Shiner et al, 2008). In a 2013 study, Aschbrenner and colleagues found that In SHAPE intervention participants who succeeded in losing weight and/or improving fitness had higher levels of mutual support from family members or significant others, compared to participants who did not lose weight or improve fitness (K.…”

Section: Discussionmentioning

confidence: 99%

“…Aschbrenner et al, 2013; K. A. Aschbrenner et al, 2013; Lesley & Livingood, 2015; Ussher et al, 2007; Van Metre et al, 2011). Qualitative studies of participants in the In SHAPE intervention have shown that participants perceive support from heath-promotion employees and fitness trainers to be key facilitators to meeting weight loss and fitness goals (K.…”

Section: Discussionmentioning

confidence: 99%

“…McDevitt and colleagues found that consumers viewed psychiatric rehabilitation programs as a safe and comfortable setting in which to participate in physical activity interventions (McDevitt et al, 2006). In a 2015 study examining consumer perspectives on the sustainability of fitness activities following In SHAPE intervention participation, Lesley et al found that, among the participants who were studied, all of those who continued fitness activities after intervention completion were members of a psychosocial rehabilitation clubhouse with staff members who were supportive of the In SHAPE program and who provided transportation to fitness activities as needed (Lesley & Livingood, 2015). Lesley and colleagues also found that participants were more likely to report barriers to physical activity in the absence of programming to support long-term maintenance, suggesting that sustainment of behavior change adopted through ACHIEVE and other lifestyle interventions for persons with serious mental illness may require ongoing programmatic support in settings frequented by persons with serious mental illness.…”

Section: Discussionmentioning

confidence: 99%

“…The ACHIEVE intervention was designed to overcome barriers to lifestyle change in persons with serious mental illness, and at the time of the interviews this group had likely not yet encountered barriers to sustaining learned behavior change and weight loss strategies outside the context of the RCT. In a 2015 study, Lesley and colleagues found that In SHAPE participants were more likely to report barriers to physical fitness nine months following program completion than they were toward the end of intervention participation (Lesley & Livingood, 2015). …”

Section: Discussionmentioning

confidence: 99%

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Perceptions of strategies for successful weight loss in persons with serious mental illness participating in a behavioral weight loss intervention: A qualitative study.

Vazin¹,

McGinty²,

Dickerson³

et al. 2016

Psychiatric Rehabilitation Journal

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Objective The purpose of this study was to describe perceptions of weight loss strategies, benefits, and barriers among persons with serious mental illness who lost weight in the ACHIEVE behavioral weight loss intervention. Methods Semi-structured interviews with 20 ACHIEVE participants were conducted and analyzed using an inductive coding approach. Results Participants perceived tailored exercise sessions, social support, and dietary strategies taught in ACHIEVE – such as reducing portion sizes and avoiding sugar-sweetened beverages – as useful weight loss strategies. Health benefits, improved physical appearance, self-efficacy, and enhanced ability to perform activities of daily living were commonly cited benefits of intervention participation and weight loss. Some participants reported challenges with giving up snack food and reducing portion sizes, and barriers to exercise related to medical conditions. Conclusions and Implications for Practice There is emerging evidence that behavioral weight loss interventions can lead to clinically meaningful reductions in body weight among persons with serious mental illness. The perspective of persons with serious mental illness regarding strategies for, benefits of, and barriers to weight loss during participation in behavioral weight loss programs provide insight into which elements of multicomponent interventions such as ACHIEVE are most effective. The results of this study suggest that tailored exercise programs, social support, and emphasis on non-clinical benefits of intervention participation, such as improvements in self-efficacy and the ability to participate more actively in family and community activities, are promising facilitators of engagement and success in behavioral weight loss interventions for the population with serious mental illness.

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Assessing Sustainability of InSHAPE Participants’ Fitness Activities in a Community Mental Health Setting

Cited by 10 publications

References 18 publications

A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation

A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation

Perceptions of strategies for successful weight loss in persons with serious mental illness participating in a behavioral weight loss intervention: A qualitative study.

Top 10 research questions to promote physical activity in bipolar disorders: A consensus statement from the International Organization of Physical Therapists in Mental Health

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